MEDICARE: TOD C HUNTLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0012X	Sleep Medicine (Otolaryngology) Physician	01038247A	IN
2	207Y00000X	Otolaryngology Physician	01038247	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780684217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOD C HUNTLEY MD

Provider Business Mailing Address
First Line	:	12188A N MERIDIAN ST
Second Line	:	SUITE 375
City	:	CARMEL
State	:	IN
Zip	:	46032-4578
Country	:	US
Telephone Number	:	317-926-1056
Fax Number	:	317-579-0476

Provider Business Practice Location Address
First Line	:	12188A N MERIDIAN ST
Second Line	:	SUITE 375
City	:	CARMEL
State	:	IN
Zip	:	46032-4578
Country	:	US
Telephone Number	:	317-926-1056
Fax Number	:	317-579-0476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	01/13/2026

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Directions to “ TOD C HUNTLEY MD” Practice Location

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